| Dfw Psychiatry Associates Pa | |
|
4500 Hillcrest Rd Suite 115 Frisco TX 75035-5418 | |
| (469) 213-6400 | |
| Not Available |
| Full Name | Dfw Psychiatry Associates Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4500 Hillcrest Rd, Frisco, Texas |
| Authorized Official Name and Position | Muhammad Abdur Rahim Haqqani (CEO) |
| Authorized Official Contact | 4692136400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dfw Psychiatry Associates Pa Po Box 250464 Plano TX 75025-0464 Ph: (469) 213-6400 | Dfw Psychiatry Associates Pa 4500 Hillcrest Rd Suite 115 Frisco TX 75035-5418 Ph: (469) 213-6400 |
| NPI Number | 1932539210 |
|---|---|
| Provider Enumeration Date | 11/22/2013 |
| Last Update Date | 11/02/2017 |
| Medicare PECOS PAC ID | 8921239484 |
|---|---|
| Medicare Enrollment ID | O20140326000680 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932539210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Texas) | Primary |
| Provider Name | Muhammad Haqqani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942253372 PECOS PAC ID: 7416936802 Enrollment ID: I20040719000966 |
| Provider Name | Davonna Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467693366 PECOS PAC ID: 7810171949 Enrollment ID: I20110413000764 |
| Provider Name | Dominique R Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295019909 PECOS PAC ID: 9133380223 Enrollment ID: I20120417000586 |
| Provider Name | Shali A George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760064828 PECOS PAC ID: 1153721261 Enrollment ID: I20210610003471 |
| Provider Name | Maimouna Sow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598375917 PECOS PAC ID: 2567861305 Enrollment ID: I20210611000504 |
| Provider Name | Karalee Landers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770251928 PECOS PAC ID: 1456759786 Enrollment ID: I20211018000573 |
| Provider Name | Olayinka Ajofoyinbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477193084 PECOS PAC ID: 3971986852 Enrollment ID: I20220810003477 |
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